CHARLOTTE L JACKSON

MONROE, MI
NPI1356528590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-30
Last Update Date2008-01-30
Business Address
-- CHARLOTTE L JACKSON MS
14733 S TELEGRAPH RD
MONROE, MI 48161-9545
Phone number: 734-243-8707
Mailing Address
-- CHARLOTTE L JACKSON MS
14733 S TELEGRAPH RD
MONROE, MI 48161-9545
Phone number: 734-243-8707
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